Individual
LAVONNE TAVERNIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-6512
Mailing address
15106 HELIUM ST NW, RAMSEY, MN 55303-6136
(763) 400-0606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3210
MN
Other
Enumeration date
07/10/2023
Last updated
10/21/2025
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